Dental
12 Month Smiles LLC
12 Month Smiles LLC was paid $498.20 by Medicaid between Jun 2018 and Jun 2018, across 2 billing codes. Its largest line is D0120, dental checkup, returning patient — 56% of everything it billed.
33Billing provider info12 MONTH SMILES LLC
FAIRFIELD, CT 06825
FAIRFIELD, CT 06825
33aNPI1033541073assigned 08/01/2013
33bProvider typeGeneral Practice Dentistry
28Total paid$498.20
24GClaims27
24DCodes billed2
24AFirst – last monthJun 2018 – Jun 2018
Compared with peers
Next to other General Practice Dentistry providers in Connecticut
Rank by total paid#391 of 431
Median peer was paid$79K
This provider vs. median0.0×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 27 | $498.20 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 56% | 13 | 12 | $280.70 |
| D1208 | Topical application of fluoride, excluding varnish | 44% | 14 | 12 | $217.50 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialARORA, TARVINDER PAL (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Star Dental LLC | East Haven, CT | $1.16M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.